Displaying 2681 - 2700 of 5993
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
42 4142BT NACKDOL 25MG/ML INJ (JLP) DICLOFENAC SODIUM 50X3ML B 0.22 25MG/ML IV/IM 0 2026-04-01 No No 0
41 4142CB DICLOFENAC SODIUM 25MG/ML IV/IM INJ (HEA) (B) 10X3ML B 0.4676 25MG/ML IV/IM 0 2024-04-01 2026-03-31 0
42 4142CF DICLOFENAC SODIUM 25MG/ML INJ (CHC) 10X3ML B 0.08 25MG/ML 0 2026-04-01 No No Add to Contract as Cat B 0
40 4142MB ALEVE 220MG CAPLET (BSP/AHI) NAPROXEN (C) 36'S C 0.1889 220MG 2023-02-21 2024-03-31 No No Add to Contract as Cat C
40 4142Q DICLOFENAC SOD 25MG/ML IV/IM INJ (RTM/PHA) 10X3ML C 0.89 25MG/ML IV/IM 0 2022-04-01 2024-03-31 0
41 4142Q DICLOFENAC SODIUM 25MG/ML IV/IM INJ (RTM) (B) 10X3ML B 0.9215 25MG/ML IV/IM 0 2024-04-01 2026-03-31 0
40 41436 VOLTAREN 50MG SUPPOS (NVS/COL) DICLOFENAC SOD 10'S A 1.58 50MG 10 2022-04-01 2024-03-31 6
41 41436 VOLTAREN 50MG SUPPOS (NVS) DICLOFENAC SO 10'S A 1.5766 50MG 10 2024-04-01 2026-03-31 0
42 41436 VOLTAREN 50MG SUPPOS (NVS) DICLOFENAC SODIUM 10'S A 1.58 50MG 10 2026-04-01 No No 6
40 41445 VOLTAREN RETARD 100MG TAB (NVS/COL) DICLOFENA 10'S C 1.71 100MG 0 2022-04-01 2024-03-31 0
41 41445 VOLTAREN RETARD 100MG TAB (NVS) DICLOFEN (C) 10'S C 1.7125 100MG 14 2024-04-01 2026-03-31 0
42 41445 VOLTAREN RETARD 100MG TAB (NVS) DICLOFEN 10'S C 1.71 100MG 0 2026-04-01 No No 0
40 4144AG REMETHAN R 100MG TAB (REM/SBI) DICLOFENAC SOD 10X10 A 0.07 100MG 14 2022-04-01 2024-03-31 6
41 4144AG REMETHAN R 100MG TAB (REM) DICLOFE (C) 10X10 C 0.0707 100MG 2024-04-01 2026-03-31
42 4144AG REMETHAN R 100MG SR TAB (REM) DICLOFENAC SODIUM 10X10 A 0.11 100MG 14 2026-04-01 No No 6
40 4144AP DICLOFENAC SOD SR 100MG TAB (HEA/RXP) 10X10 A 0.06 100MG 14 2022-04-01 2024-03-31 6
40 4144CT DICLOFENAC SOD SR 100MG TAB (FSB/ATB) DICLOFE 10X10 A 0.05 100MG 14 2022-04-01 2024-03-31 6
40 4144CX DICLOFENAC SOD SR 100MG TAB (HEA/ATB) 10X10 A 0.0612 100MG 2022-12-07 2024-03-31 No No Change Local Agent 6
41 4144CX DICLOFENAC SODIUM 100MG SR TAB (HEA) (C) 10X10 C 0.069 100MG 0 2024-04-01 2026-03-31 0
40 4144DA DICLO-SR 75MG TAB (RYV/ALW) DICLOFENAC SOD 100'S A 0.07 75MG 28 2022-04-01 2024-03-31 6